NPI | 1740604735 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT RALPH ELBON Owner/President 304-591-4544 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: WV UD000305954001) |
Enumeration Date | 2014-02-11 |
Last Update Date | 2014-02-11 |